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Ask The Doc: What’s The Difference Between IBS And IBD?

Question: What’s the difference between IBS and Crohn’s Disease? Could I have both?

Answer: While both of these conditions seem to have similar symptoms, they are in fact different, and, yes, it is possible for someone to have both at the same time. Here’s a quick breakdown of the two:

Crohn’s Disease is a chronic, inflammatory bowel disease that affects parts of the digestive tract. Symptoms often include diarrhea, a frequent need to move your bowels, stomach pain, and bloating (all symptoms of IBS). However, with Crohn’s disease, patients also may notice things like vomiting, tiredness, weight loss, fever, or even bleeding.  It’s not certain what causes Crohn’s disease, but most experts believe it is an abnormality in the immune system that can trigger the condition. Chron’s disease is also more common in those with a family history of the disease.

IBS (also called “spastic colon”) carries similar symptoms to Crohn’s disease – cue the diarrhea, frequent trips to the bathroom, and stomach pain.  However, treatment for Crohn’s disease and IBS are different so it pays to be examined for both so that you understand what is causing your symptoms and you can treat it appropriately.  Testing for both conditions can be done with a physical exam, blood test, and usually a colonoscopy or other type of endoscopy procedure.

If you experience any symptoms related to IBS or Crohn’s disease, make an appointment with your doctor today to get tested.

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One Response

  1. I have had six children & also radiation for endometrial carsonomer of the uterous. Could that be reason for incontinence of bowel? I am now 80 yrs. young.

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